山东省艾滋病项目地区2006-2008年自愿咨询检测状况分析

目的了解项目地区自愿咨询检测服务状况,有针对性的开展健康宣传和外展干预工作,有效利用资源。方法收集山东省全球基金艾滋病项目地区2006-2008年按规范要求完成的所有咨询个案表及其人类免疫缺陷病毒（HIV）抗体检测结果,并进行统计学分析。结果2008年每咨询点月平均提供服务人次数15.22人次,是2006年的2.58倍。共27619人次接受VCT服务,有非婚异性性行为史的所占比例最大,为45.38%。2006年、2007年、2008年,求询类型不详的所占比例分别为3.35%,1.22%,0.62%,呈逐年下降趋势;求询者中女性所占比例分别为39.12%、50.19%和53.49%,呈逐年增加趋势。项目地区通过VCT检出HIV抗体阳性数占HIV阳性发现数的比例为44.56%。其中其他类型的比例最高,为30.23%,其次为非婚异性性行为、配偶/固定性伴阳性、有献血（浆）史和有输血/血制品史,分别为16.28%、13.95%、13.95%、11.63%。在接受VCT服务的人中,HIV抗体阳性总检出率为0.32%;HIV抗体阳性检出率最高的是有注射毒品史的,为15.00%,其次为母亲阳性和配偶/固定性伴阳性,分别为11.11%和6.35%。结论山东省自愿咨询检测工作逐渐规范,资源利用率逐渐提高。主要的服务对象为有非婚异性性行为史者。越来越多的女性得到VCT服务。有非婚异性性行为史者、外来妇女、母亲阳性、配偶/固定性伴阳性,有献血（浆）史和有输血/血制品史的是该省项目地区VCT服务的目标人群和高危人群,同时也需加强对注射吸毒和男男同性恋人群的外展干预和健康宣传工作。

Analysis on HIV voluntary counseling and testing from the year 2006 to 2008 in the program areas of AIDS in Shandong Province

Objective To understand the status of VCT service in the program counties of Shandong Global Fund AIDS program Round 3, to guide health education, outreach service, intervention, and make full use of resources. Methods The case forms of HIV counseling and their test results from 2006 to 2008 were collected and analyzed. Results There were 15.22 person-times to seek VCT service per month for every clinic in 2008, which was 2.58 times as much as that in 2006. From 2006 to 2008, the VCT clinics in the program counties delivered HIV-related VCT services to 27 619 person-times, 45.38 % of them having unmarried sex experience. The proportion of those with risk behaviors identified was 3.35 %, 1.22 %, and 0.62 % respectively. The proportion of female was 39.12 %, 50.19 %, and 53.49 % respectively. 44.56 % of the HIV infected were found by VCT in the program counties. Among all the inquiry types, the detection rate of anti-HIV of other types was 30.23%, and that of unmarried sex experience, partners of PLWHA, former commercial blood and plasma donors and recipients were 16.28 %, 13.95 %, 13.95 %, and 11.63 % respectively. The total detection rate of anti-HIV was 0.32%. The detection rate of drug use was 15.00%, that of HIV-positive mothers was 11.11% and of partners of PLWHA was 6.35 %. Conclusions The VCT service in Shandong program counties is gradually standardized and the utilization rate of resources improved. The main service objective is for those with unmarried sex experience. There are more and more females who obtain VCT service. The persons with unmarried sex experience, migrant women, HIV-positive mothers, partners of PLWHA, and former commercial blood and plasma donors and recipients are among the target and high risk groups. It is also necessary to strengthen the health education, outreach service, and intervention for drug users and MSM.